CRISANTO M REYES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

CRISANTO M

Last Name

REYES

Suffix

Business Name

CRISANTO M REYES MD

Original Issue Date

05/26/2004

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

MILFORD

State

Zip

60953

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023